Individual provider Active NPI

Jennifer Lynn Boston, MSW, LCSW

  • Clinical Social Worker
  • Woodstock, IL
National Provider Identifier
1922589076
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.024497 Issued in IL
Practice address
2028 N Seminary Ave
Woodstock, IL 60098-2626
Phone
(815) 333-8650
NPI assigned
Aug 27, 2018
Last updated
Jun 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.024497 IL Primary

Addresses

Primary practice location

2028 N Seminary Ave
Woodstock, IL 60098-2626

Mailing address

4010 5TH PL
Kenosha, WI 53144-1031
Phone (847) 714-2375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221208002761 IL Practitioner - Clinical Social Worker 0648649988 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Independence Health and TherapyGroup PAC ID 2062315849, 6 clinicians
Calmly Centered Therapy, PLLCGroup PAC ID 7618375783, 2 clinicians

Practice addresses (Care Compare)

2028 N Seminary Ave
Woodstock, IL 60098-2626
Phone (815) 338-3590

3213 E E Solon Rd
Richmond, IL 60071-9675
Phone (612) 741-1178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.024497ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
NPI 1184744625 CurrentSince Oct 20, 2022 Accepting new patients
Calmly Centered Therapy, PLLC Clinical CurrentSince Aug 1, 2025 Accepting new patients
Independence Health & Therapy Clinical Current Accepting new patients

Locations

2028 N Seminary Ave
Woodstock, IL 60098
Phone (815) 333-8650

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1922589076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 5TH PL",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441031",
            "telephone_number": "847-714-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 N SEMINARY AVE",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600982626",
            "telephone_number": "815-333-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTON",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.024497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, IL

Sources for this page

Verify at the official NPI Registry.